Organization Active NPI

Pathways Institute for Impulse Control - a Psychology Corporation

  • Community/Behavioral Health Agency
  • San Francisco, CA
National Provider Identifier
1114238359
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PSY19074 Issued in CA
Legal business name
PATHWAYS INSTITUTE FOR IMPULSE CONTROL - A PSYCHOLOGY CORPORATION
Practice address
5758 Geary Blvd # 227
San Francisco, CA 94121-2112
Phone
(415) 267-6916
NPI assigned
Jun 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Samantha Smithstein, PSY.D.
Title
President/Ceo
Phone
(415) 267-6916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PSY19074 CA Primary

Addresses

Primary practice location

5758 Geary Blvd # 227
San Francisco, CA 94121-2112

Mailing address

5758 Geary Blvd # 227
San Francisco, CA 94121-2112

National Provider Directory

National Provider Directory
Tax ID family
Pathways Institute for Impulse Control - a Psychology Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1114238359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5758 GEARY BLVD # 227",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941212112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5758 GEARY BLVD # 227",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941212112",
            "telephone_number": "415-267-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS INSTITUTE FOR IMPULSE CONTROL - A PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "SMITHSTEIN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "415-267-6916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY19074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.